DN-1 Acupoints Flashcards
ST5 Target Tissue
Superficial Masseter
Anterior aspect of the distal masseter/corner of the ramus
ST5 Location, Needle Orientation, and Depth
1 CUN anterior and superior from the mandibular angle
Parallel to the inferior border
Orientation - Perpendicular
Depth - 20-25mm
Measurement of 1/2 CUN
Index Finger
Measurement of 1 CUN
Thumb IP
Measurement of 1.5 CUN
2 Fingers
Measurement of 2 CUN
3 Fingers
Measurement of 3 CUN
4 Fingers
What is GV stand for?
Governing Vessel
What does BL stand for?
Bladder Line
What does GB stand for?
Gallbladder
What does TE stand for?
Triple Energizer
What does SI stand for?
Small Intestine
What does LV stand for?
Liver
What does KI stand for?
Kidney
What does ST stand for?
Stomach
What does LU stand for?
Lung
What does LI stand for?
Large Intestine
ST6 Target Tissue
Posterior Aspect of the Distal Masseter
ST6 Location, Needle Orientation, and Depth
1/2 CUN anterior and superior from the mandibular angle, parallel to the inferior border
Needle Orientation - Perpendicular
Depth - 20-25 mm
ST7 Target Tissue
Superficial - Deep Masseter
Deep - Medial and Lateral Pterygoid
ST7 Location, Needle Orientation, and Depth
1/2 CUN anterior to tragus, below (immediately inferior to) zygomatic arch
Needle Orientation:
Medial Pterygoid - 45 degrees inferior
Lateral Pterygoid - 45 degrees superior
Depth: 30-40mm
ST8 Target Tissue
Superior/Anterior Temporalis
ST8 Location, Needle Orientation, and Depth
Location: Superior to ST7 where the vertical and anterior hairline meet, 1 finger behind this (or worded as level with the top of the ear at the hairline)
Needle Orientation: Perpendicular (can angle superior to inferior to increase tissue grab)
Depth: 20-25mm
TaiYang Target Tissue
Temporalis (Anterior/Inferior)
TaiYang Location, Needle Orientation, and Depth
Location: 1/2 CUN lateral of the eye (AVOID orbit) over the zygomatic/sphenoid bones
Needle Orientation: Perpendicular
Depth: 10-15 mm
Precautions: Avoid pulse in this area
GB2 Target Tissue
TMJ Posterior Capsule
Book - Peri-articular capsule of posterior TMJ
GB2 Location, Needle Orientation, and Depth
Location: In divot, slightly superior to tragus
(Book - immediately anterior to the tragus and inferior to the zygomatic arch, within the depression created during mouth opening, immediately posterior to mandibular condyle)
Inferior to SI19 and TE21
Needle Orientation: Angled obliquely to get to the posterior aspect of the condyle (Superomedial)
Depth: 10-15 mm
SI19 Target Tissue
TMJ Posterior Capsule
SI19 Location, Needle Orientation, and Depth
Location: Slightly inferior to tragus in the divot.
-has an entry point slightly superior to GB2
Needle Orientation: Angled obliquely to get to the posterior aspect of the condyle (Book - superomedial, slightly anterior)
Depth: 10-15mm
TE21 Target Tissue
TMJ Posterior Capsule
TE21 Location, Needle Orientation, and Depth
Location: In the depression posterior to the mandibular condyle with the mouth open
-has an entry point slightly superior to SI19
Needle Orientation: Angled obliquely to get to the posterior aspect of the condyle (Book - medial, slightly anterior)
Depth: 10-15mm
What acupoints are part of the TMJ protocol?
ST5 ST6 ST7 ST8 TaiYang GB2 SI19 TE21
Acupoints in the Medial Epicondyle Protocol
HT3 (modified)
AhShi 1
AhShi 2
What does HT stand for?
Heart
HT3 (modified) Target Tissue
Common Flexor Tendon
HT3 (Modified) Location, Needle Orientation, and Depth
Location: 1 CUN distal and lateral to AhShi1 (Just distal and anterior to the cubital crease)
Needle Orientation: Perpendicular
Depth: 40-50mm
AhShi 1 Target Tissue in Medial Epicondyle Protocol
CFT (Common Flexor Tendon) Teno-osseous Origin
AhShi1 of the Medial Epicondyle Protocol Location, Needle Orientation, and Depth
Location: Distal and Anterior to the Medial Epicondyle at the site of discomfort. Periosteal Pecking can be done here.
Needle Orientation: Perpendicular avoiding the unlar nerve
Depth: 20-30mm
AhShi2 Target Tissue in Medial Epicondyle Protocol
Flexor Carpi Radialis
AhShi2 of Medial Epicondyle Protocol Location, Needle Orientation, and Depth
Location: 3 CUN distal and lateral to HT3
Needle Orientation: Perpendicular
Depth: 40-50mm
Precautions: Avoid deep needling in midline due to anterior interosseous artery and membrane (compartment syndrome)
What points are part of the lateral epicondylitis protocol?
CET/AhShi1 LI4-5 LI8-10 LI11 (Modified) LI12-13 LU5
AhShi1 of Lateral Epicondylitis Protocol Target Tissue
Common Extensor Tendon, Teno-osseous Origin
AhShi1 of Lateral Epicondylitis Protocol Location, Needle Orientation, and Depth
Location: Lateral epicondyle on the area of pain (can periosteal peck on bone). 1 CUN distal/anterior to the lateral epicondyle
Needle Orientation: Perpendicular (Book - A-P and slightly medial)
Depth: 30-40mm
LI13 Target Tissue
Brachialis Muscle Belly
LI13 Location, Needle Orientation, and Depth
Location: 3 CUN proximal (superior) of lateral epicondyle, immediately anterior to humerus (posterior to biceps brachii)
Needle Orientation: Lateral to Medial
Depth: 30-40mm
LI12 Target Tissue
Brachioradialis, Extensor Carpi Radialis Longus Teno-osseous origin (Supraepicondylar Ridge)
LI12 Location, Needle Orientation, and Depth
Location: 1 CUN (1 thumb) proximal (superior) of lateral epicondyle
Needle Orientation: Perpendicular
Depth: 30-40mm
LI11 (Modified) Target Tissue
Common Extensor Tendon (CET)
LI11 (Modified) Location, Needle Orientation, and Depth
Location: 1 CUN Distal/Anterior of the Radial Head
Needle Orientation: Perpendicular
Depth: 30-40 mm
Tip: Supinate and pronate to find radial head, then acitvely extend 3rd digit (ECRB) to confirm correct location. Also drawing a line from LI11 to the base of the 3rd metacarpal will line up the remaining LI points
LI10 Target Tissue
Trigger Points in ECRB/L
LI10 Location, Needle Orientation, and Depth
Location: 2 CUN Distal to LI11 (Modified)
Needle Orientation: Perpendicular
Depth: 30-40mm
LI9 Target Tissue
Trigger Points in ECRB/L
LI9 Location, Needle Orientation, and Depth
Location: 1 CUN Distal to LI10
Needle Orientation: Perpendicular
Depth 30-40mm
Note from Book: Superficial radial nerve sits just underneath the brachioradialis and on top of the supinator.
LI8 Target Tissue
Trigger Points in ECRB/L
LI8 Location, Needle Orientation, and Depth
Location: 1 CUN Distal to LI9
Needle Orientation: Perpendicular
Depth: 30-40mm
Note from book: Lateral antebrachial cutaneous nerve sits superficial and on top of brachioradialis
LI5 Target Tissue
Extensor Pollicis Longus
LI5 Location, Needle Orientation, and Depth
Location: In the anatomical snuffbox, under the dorsal tendon
Needle Orientation: 45 degrees, tucked under the extensor pollicis tendon
Depth: 10-15mm
LI4 Target Tissue
1st Dorsal Interossei
LI4 Location, Needle Orientation, and Depth
Location: Adduct the thumb and insert need in the muscle belly
Needle Orientation: Perpendicular
Depth: 10-15mm
LU5 Target Tissue
Supinator
LU5 Location, Needle Orientation, and Depth
Location: With the forearm pronated, it is deep to the extensor group. Thumb on cubital crease and sweep the extensors laterally.
Needle Orientation: Medial to Lateral on the Radial Head.
Depth: ??? There is a bony backdrop
Precaution: Do not go into the cubital fossa. Make sure you are needling towards the radius and not the humerus.